Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08094 | Date 02/01/2023 |
| Token No | SM/22-23/7580 31/01/2023 | Serial | 027 |
| Patient Name | Miss PUNAM KUMARI | Contact No | 7003311681 |
| Address | 13 DEY GHAT LANE | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||